Non-pharmacological Treatments for BPSD
Über den Vortrag
Der Vortrag „Non-pharmacological Treatments for BPSD“ von Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C ist Bestandteil des Kurses „Management of Neurocognitive Conditions in the Older Adult“.
Quiz zum Vortrag
Behavioral and psychological symptoms of dementia (BPSD) refer to the often distressing, non-cognitive symptoms of dementia. Across all dementia subtypes, these symptoms occur in approximately what percentage of persons with dementia?
- up to 90%
- up to 70%
- up to 50%
- up to 30%
- up to 10%
When differentiating between acute and chronic behavioral symptoms in dementia, which evidence-based assessment tools are recommended depending on the patient's setting?
- SBAR-BPSD for residential settings and NPQI for home settings
- NPQI for residential settings and SBAR-BPSD for home settings
- BPSD-CAM for both residential and home settings
- MoCA for residential settings and MMSE for home settings
- NINCDS-ADRDA for residential and DSM-5 for home settings
In the five-step framework for managing behavioral and psychological symptoms of dementia, what is the second critical step that must always be performed?
- Always look for delirium and rule out potential medical or psychiatric causes.
- Consider the patient and gather detailed symptom information.
- Think about the big picture of the disease process.
- Know your interventions and select appropriate treatments.
- Assess the caregivers and their ability to provide support.
Which of the following interventions are identified as having the highest rating of efficacy for managing behavioral and psychological symptoms of dementia?
- Sensory practices combined with psychosocial practices
- Pharmaceutical interventions combined with reminiscence therapy and caregiver education
- Restraint use combined with structured care protocols and environmental modifications
- Isolation strategies combined with behavioral monitoring and medication management
- Reality orientation combined with activity limitation and cognitive retraining
What role do the social environment and caregiver interactions play in managing behavioral symptoms in residential settings?
- The social environment and how caregivers interact with patients contribute equally with the physical environment in reducing behaviors.
- A perfectly adapted physical environment alone is sufficient to reduce all behavioral symptoms.
- The social environment has minimal impact when the physical environment is properly designed.
- Caregiver interactions are less important than medication management in behavior reduction.
- The social environment is only important during acute behavioral episodes, not routinely.
As dementia disease process advances and the brain loses function, what happens when patients are unable to communicate their wants or needs?
- Patients become anxious, agitated, aggressive, or apathetic as a response to their inability to communicate.
- Patients become more compliant and easier to manage as the disease advances.
- Patients remain calm but withdraw from all social interaction with others.
- Patients develop primarily cognitive deficits without any behavioral changes occurring.
- Patients spontaneously recover their communication abilities through alternative means.
Why are pharmaceutical interventions described as a last resort in the management of behavioral and psychological symptoms of dementia?
- Because of the high potential for adverse effects associated with pharmaceutical interventions for BPSD
- Because medications are too expensive for most patients and not covered by insurance
- Because behavioral symptoms do not respond effectively to any available medications
- Because non-pharmacological interventions always work better than medications in all cases
- Because pharmaceutical companies do not produce effective medications for BPSD management
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Dozent des Vortrages Non-pharmacological Treatments for BPSD
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
Dr. Kim Posey is the Director of Graduate Nursing and an Associate Professor of Professional Practice at Texas Christian University.
She has achieved dual doctoral status, holding both a Ph.D. and a DNP in nursing. She is dual certified as an Advanced Adult Nurse Practitioner and Gerontological Nurse Practitioner and holds a certification in nursing education. As a Gerontological Specialist certified by the Gerontology Nursing Certification Commission she is recognized as an APRN who possesses expert knowledge, experience, and skill in managing the complex health needs of older adults. In addition to this impressive educational background, she maintains active clinical practice with adult and geriatrics patients in the primary care area.
At Lecturio, Dr. Posey teaches Gerontology for the advanced practice nurse.
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